Outcome Measurement of Instillation of 0.45% Saline to Catheter Suction on Endotracheal Patients

Outcome Measurement of Instillation of 0.45% Saline to Catheter Suction on Endotracheal Patients

Abstract:

Outcome Measurement of Instillation of 0.45% Saline to Catheter Suction on Endotracheal Patients

Conference Sponsor:

Sigma Theta Tau International

Conference Year:

2004

Conference Date:

July 22-24, 2004

Author:

Tseng, Hsiu Yi, MSN

P.I. Institution Name:

Tri - Service General hospital

Title:

Nursing Supervisor

Email:

hsiuyi@mail.ndmctsgh.edu.tw

Nurses caring for endotracheally intubated patients commonly instill a bolus of normal saline into the endotracheal tube prior to suctioning. The rationale, when identified, is most often to lossen secretions or stimulates a cough. But there is lack of evidence that this practice is beneficial. The purpose of this study is to explore the effect of instill 0.45% normal saline or not into the endotracheal tube. Indicators used in the study included: 1)hemodynamic data ,2)PaO2 / FiO2, 3) SaO2 ,4) bacterial colonies. A quasi-experimental research design was employed for this study. During March 2002 to December 2002, total fifty-nine samples were selected from a 1200-beds teaching hospital ; twenty-eight patients were in the control group without 0.45% saline prior to suctioning and thirty-one patients were in the experimental group with 0.45% saline. Four instruments were used in this study : recording file, bedside monitor, gas analytic machine and bacterial colonies machine. Statistical methods including t-test, paired t-test, chi-square and GEE were used for data analysis. There was a significantly higher incidence of MBP, heart rate and bacterial colonies numbers in the experimental group. The PaO2 / FiO2 results of the control group were better than the experimental group. The SaO2 result just keep the significant increased within 3 minutes after suction, but the data recovery to the same degree as the data of pre-suction after 5 minutes and there°¦s no difference between two groups. These findings suggest nurses to consider what the most properly nursing care is for the endotracheal patients.

Full metadata record

Outcome Measurement of Instillation of 0.45% Saline to Catheter Suction on Endotracheal Patients

en_GB

dc.identifier.uri

http://hdl.handle.net/10755/156728

-

dc.description.abstract

<table><tr><td colspan="2" class="item-title">Outcome Measurement of Instillation of 0.45% Saline to Catheter Suction on Endotracheal Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tseng, Hsiu Yi, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Tri - Service General hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing Supervisor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hsiuyi@mail.ndmctsgh.edu.tw</td></tr><tr><td colspan="2" class="item-abstract">Nurses caring for endotracheally intubated patients commonly instill a bolus of normal saline into the endotracheal tube prior to suctioning. The rationale, when identified, is most often to lossen secretions or stimulates a cough. But there is lack of evidence that this practice is beneficial. The purpose of this study is to explore the effect of instill 0.45% normal saline or not into the endotracheal tube. Indicators used in the study included: 1)hemodynamic data ,2)PaO2 / FiO2, 3) SaO2 ,4) bacterial colonies. A quasi-experimental research design was employed for this study. During March 2002 to December 2002, total fifty-nine samples were selected from a 1200-beds teaching hospital ; twenty-eight patients were in the control group without 0.45% saline prior to suctioning and thirty-one patients were in the experimental group with 0.45% saline. Four instruments were used in this study : recording file, bedside monitor, gas analytic machine and bacterial colonies machine. Statistical methods including t-test, paired t-test, chi-square and GEE were used for data analysis. There was a significantly higher incidence of MBP, heart rate and bacterial colonies numbers in the experimental group. The PaO2 / FiO2 results of the control group were better than the experimental group. The SaO2 result just keep the significant increased within 3 minutes after suction, but the data recovery to the same degree as the data of pre-suction after 5 minutes and there&deg;&brvbar;s no difference between two groups. These findings suggest nurses to consider what the most properly nursing care is for the endotracheal patients.</td></tr></table>

en_GB

dc.date.available

2011-10-26T15:04:31Z

-

dc.date.issued

2004-07-22

en_GB

dc.date.accessioned

2011-10-26T15:04:31Z

-

dc.description.sponsorship

Sigma Theta Tau International

en_GB

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